Provider Demographics
NPI:1043961741
Name:EUVERITA, INC.
Entity Type:Organization
Organization Name:EUVERITA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOZNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-335-7762
Mailing Address - Street 1:153 BRIDGEPOINT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55075-2500
Mailing Address - Country:US
Mailing Address - Phone:612-448-2690
Mailing Address - Fax:
Practice Address - Street 1:153 BRIDGEPOINT DR
Practice Address - Street 2:
Practice Address - City:SOUTH SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075-2500
Practice Address - Country:US
Practice Address - Phone:612-448-2690
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory